Organization Active NPI

Katrina M. Jefferson

Doing business as TLC Therapeutic and Consultation Services

  • Specialist
  • Huntington, WV
National Provider Identifier
1801253539
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KATRINA M. JEFFERSON
Doing business as
TLC Therapeutic and Consultation Services
Practice address
5930 Mahood Dr
Huntington, WV 25705-2210
Phone
(304) 955-5111
Fax
(740) 295-5372
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katrina Jefferson, CSWNPI 1295059970
Title
Owner
Phone
(740) 622-7108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

5930 Mahood Dr
Huntington, WV 25705-2210

Mailing address

5930 Mahood Dr
Huntington, WV 25705-2210
Phone (304) 955-5111

Other names 1

  • TLC Therapeutic and Consultation Services Doing business as

National Provider Directory

National Provider Directory

Locations

5930 Mahood Dr
Huntington, WV 25705
Phone (304) 634-0274

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1801253539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 MAHOOD DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052210",
            "telephone_number": "304-955-5111",
            "fax_number": "740-295-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 MAHOOD DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052210",
            "telephone_number": "304-955-5111",
            "fax_number": "740-295-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA M. JEFFERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-622-7108",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Therapeutic and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.